One in three ACS patients misdiagnosed in ED

One in three patients admitted to hospital with an acute coronary syndrome diagnosis from the emergency department has a different diagnosis on discharge, a study from Victoria has found.

Over-reliance on biochemical markers such as troponin to diagnose ACS rather than history and examination findings may explain why the diagnosis is confirmed in only about two thirds of cases, according to clinicians at the Monash Health Department of Emergency Medicine.

In a retrospective study of 704 patients